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Home My WebLink About2012-01072 - COO -addn/remodel/repair City of Orono CERTIFICATE OF OCCUPANCY � . This Certificate is issued pursuant to the requirements of Section 110 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the local jurisdiction regulating building construction or use. For the following: Building Address: 2670 KELLEY PKWY �3U� PIN: 3 3-118-23-12-0072 Legal Description: Stonebay Of Orono Condominium Block 000 Lot 000 Zoning District: Permit No: 2012-01072 Work Activity: Addn/Remodel/Repair Construction Type: VN Occupancy Occupant Load: Fire Sprinkler: N Applicant: Gordon James Construction Applicant Address: 5159 Main Street E City, State,Zip: Maple Plain, MN 55359- Owner Name: Citizens Independent Bank Owner Address: 5000 36th St W City, State,Zip: St Louis Park, MN 55416- FOR YOUR INFORMATION For any police,fire or medical emergency-Call:911 Posting of your assigned street number is required In purchasing a new home, file for your homestead at the City offices.Register your address for voting, drivers ficense and automobile registration. City water and sewer is billed quarterly. Septic inspection fees are billed annually.Permits are required for any additions or a/terations on your property or for construction of any garages, deck, dock or other accessory structure. Special regulations prohibit any excavation,filling,grading,dredging, tree removal, orconstruction of any kind within 75 feet of any/akeshore or within 50 feet of any wetlands. Call City before working near lakeshore or wet/ands. UNIT 304 ��,��GZ��d��'l/�/ / (�/y�� Zonin�Administrator R,City Engineer Date � 1;�� - l t' ?�i Z Buildi _Of7icial Dat: � j • CITY OF ORONO * z 0 1 z - 0 1 0 7 z * 2750 KELLEY PARKWAY DATE ISSUED: 12/10/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2670 KELLEY PKWY PIN : 33-118-23-12-0072 LEGAL DESC : STONEBAY OF ORONO CONDOM[NIUM : LOT 000 BLOCK 000 PERMIT TYPE : ADDITION/REMODEL/REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR ACTIVITY : 434-RESIDENTIAL VALUATION : $ 60,000.00 NOTE: SEPERA'I'E PERMITS REQUIRED: PLUMBING,MECHANICAL,FIRGPLACE, ELGCTRICAL(STATE) UNIT#304 FINISH APPLICANT PERMIT FEE SCHEDULE 756J5 GORDON JAMES CONSTRUCTION PLAN REVIEW 491.89 5159 MA[N STREET E P.O. BOX 306 STATE SURCHARGE(VALUATION) 30.00 MAPLE PLAIN, MN 55359- TOTAL 1,278.64 (763)479-31 17 Minnesota State License#:20531961 OWNER Citizens Independent Bank 5000 36TH ST W ST LOUIS PARK,MN 55416- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing Ihis type of work shall be compied wi[h whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. '1'he applicant is responsible for assuring all required inspections are requeste in eonformance with the State Building Code.This permit may be revoke t any t� e for d ausc. � ' �D i�'` Z � /D � Z li nt Permitee Si ature Date Issu 13��Signaturc Date j SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. f J --{. �� c� City r�f t�rvno Build�ng Perrnit App�lication for In#ernal Work {windows, doars, siding, re-roof, etc.) �...-- AdatlingAddrerss: Q� ��/p� ��,0,��. PQ Soz 66 Pem►if numbsr. � � Crystai Bay,MN 5�323-0066 Date received: /O -0�.3 -/ �0 +� � R�:eived by: L�3`YLC(-(.�_ � � . � �+-' s. Street Ad�iress: �i .t.= .� `�' 2750 Keiley Partcway Pian review#ee� �L9k�3tid�'� �R7R0� l�A(�1 Jr$3$s / �""� �-__-� T�,F�: , a�s�.� Main: 952-249-4600 Fax; 9�2-249-4616 vwvw.ci.s�rono.mn.us This�ppliCafion fotm musi be completed in fuli and all required information must be submitted. incomplete aµpiiCatians wifl b�returned. (Please print) GENERAL INFORMATIQN: ,/ �� Job Site Address: ��. Witl this he a Parade of Hames, Remodelers S awcase Hom �oth�r Display H e? es Na 1f yes,a spaciai event permrt is requered wlth Pdice Dapartment snd City Council approva!6D days prior to 1ha euent. Shuttie bus service tvill6e requlred unfess appllcant demanstrates s�arent on-site parking 1r avaBBbte. Non-perrnitted eve�fs wiN nai be allawso` CtJNTRACTOR t APP�(CANT 4NFORt�IATIC�F1: Name: G""loF'c�Cri�t.�Vrt¢.S �;��IbY'� State License# Expiratipn Date: �.. (^ ! ^�_ Lead Certification Nurnber. � �-. Expiration Date: (for work on hames that were corrstructed prior to 19T8 Phane: (�� - - (offiee� � � - Q'�{--��Lf jceli) Mailing Addre&s: � _� _ City � �� ZIP: ��"'��— Co�tact Pers.on- Applicant is: o tra r Homeowner �cir��ao�m} Email and/or Fax: �y,,,� PROPERTY OWNER INFORMATION: / �/� Narne: ��c2 � ��'+t�✓ut�."in..rt' Y��'.�.in..� Phone(day): �� C�"* �',�"'�' Address: ,S'�jp� W . ?.��ri' �"1": City.�t.n�.ct� �ra.r�ZIP: -,._,�'� ��k� Emaii andlor Fax ��h "��-�yti��— �Y�anrw�lo rr�nnn�.e.r-� �� c f b•�aw. PROJ ECT INFQRMATION: Type af�roject: Any earth movem�ent sr�ay require ❑Dc�or(s) i ❑Remodel ❑Water Damage MCWD teview 8 p¢i't1�tt5: Minnehaha Creek Watershed bistricf(f+hGWD) �Window(s} � ❑Ftepair [{Storm Damage 182�2 Minnetonka B►vd � Dee h�ven, MN 5539'I ❑Siding � �Restar�tivn ❑Other:(speclty) � Ph ne: 952-47t-0590 ❑Re-roof ❑Fire Qamage Fax: 952-�471-�s82 wtivw.m fnnehahacreek.ort� C}verall Pro ect Description: y� ,� � Fatimatsd Construction Valuation af ProJect(excluding tandj � �� CJ�� -- - � APPLICANT ACKMOWLEDGEMENT: Agrees to provida ali infwmalion required or requested by tha Buildiny Departmen� . Certifles thai the information supplied Es true and correct to the besE of his/her knowledge. The applicant r�ecogni2es that they � are solely responsible for supmiuing a c�omplete appilcaiion being aware that upon faiture to do so,the siafi has no altematNe E but to reject it untii it is complete; � � Some or alf of the fnfortnation that you are asked ta pmvide an this applicatfon is classified by State taw as aither pnvate or � confidentiai. Private data is informatian whir,h �nerally canrtot be given to the public but can be given ta xhe sudject of#he � data. Confuiential data is infwmatlon which generai{y cannot be given to either the pubiic or the subject of xhe data. Our purgose and intended use of this ir�fprmation is to annually update aur recards and records of othe�govemrnental agencies re uired b law. If u refuse su�k ir�f nn ' n,the a lication ma not be issued. Applicant's Signature: � Date: ��' ��'�ta�� - Y Last UPdafed: 03-c�1-2011 ' � ' Plan Review Checkiist for New Structures / Additions Address/ PID/ Legal: Zb� � I<el 1�,�., pA2kw.A�, #3oY Description of work: [J'A!�T I'^�n.��S H Septic review by: N' /A Date Approved: Zoning review by: � Date Approved: Building review by: — Date Approved: �U �Z g–� �2 Grading review by: /�` / /� Date Approved: Zoning File#: Resolution#: Resolution Date: Zoning District Fire Department Post Office School District Zoning: ot Area: SF/AC Width: Depth: ��. Survey Submitted: ❑ Yes ❑ No Date of Survey: Proposed Setbacks: if � Front (Lake) Rear reet) ( N S E "W ) ( N S E W ) Othe{Buildings Wetland Side Side , Building Defined Height: �� Building Peak Height: #of Stories Ok?: ❑ YES __ � �. FOR A BUILDING WITH A BASEMENT OR CRAWL SPAO�: FOR A$UILDING ON A SLAB FOUNDATION: START WITH the distance between the basement floor/crawl SFART the distance between the stab and the highest space floor and the highest roof peak,th�top of WITH roof peak,the top of the cornice of a flat roof, the cornice of a flat roof,the deck line of a�`�� ,� the deck line of a mansard roof, or the mansard roof, or the uppermost point on a ro�d , uppermost point on a round or other arch-type or other arch-t e roof ;} roof SUBTRACT half the distance between the highest window+and ' SUBTRACT half the distance between the highest window hi hest roof eak of a itched roof � and hi hest roof eak of a itched roof SUBTRACT the distance between the basement flo�f/crawl ADD the distance between#he slab and the highest space floor and the highest existing gfade within existin rade within the foundation the foundation or 10 feet, whichev�`r is fess. EQ LS Defined buildin hei ht EQUALS Defined buildin hei ht > Lot Coverage: SF % Shoretand District MCWD Permit Received Average•Lakesh e Setback Bfuff Yes 0 No � N/A � ❑ Yes ❑ No ❑ Yes ❑ No ' ❑ Yes ❑ No �N/A � Permit Number: �` Setback: Hardcover Zone Existin ; Proposed Variance Required � ' CUP Required 0-75' :❑ Yes ❑ No 0 s ❑ No 75-25 TYPe(S): TYPe(S): � `,\ '� 25 -500' 00-1000' REMARKS (in-house): �a C N�N6 e Updated: 09/11/2009 z:\forms\plan review checklist.docx - " .: Fees to be Charged YES NO �;�ti'II'��'-� , I � 3 � � F � � ys.,� - s..� s �''s '� ��:� ,*%' s �� Plan Review �:�a�esS�:irc31�i3'r e _ '��'.w.,�l��a�+�-�ti�V�,�a"'r ��y'Y .,'w '�� ' �'v� v�� ' � � `�.,a.�:4iAr�'a�*i��fi�i?��'�'��r�. .�. a�. 'sa� '� �. Investigation Fee SAC—'Number�of-'SAC�U:riits � •� �`R�,� �� '��s' �� -" ,�=�"..,. � ,:,E��s�� . . '.w..::;r Sewer Connection ;11Vater�Connection ,�,�� y�,� �x�.� SA��,.�r„� � ��, d �� . .�� `�,� ��,�_ Park Fee �:�ute�lns�Pection ,,'��;��;,��- � �,._ ., �.�„�, . - � .� _._ _ Other(specify) , , �IIYl�sce"Ilarueous�F,e�s�;� ��-� � ` `„ �� ,T� � �� n �rKue,.uaw�.., :....�I-� �n� .�ar.'*�-,�.�','`��3�� ..§��...,,T� F { ��.g ^ � �r � ��:, d�� 4.� i,�+k ly --�s 5;�1{ .uFM�+ 9 9�N,.Mry;u:, ,P,�} Calculated By: Square Foota e $ per Square Foota e Basement X = � 15t Floor X = � 2nd Floo� X = � Garage X = � Estimated Construction Value: � C�U, 000"� Orono fnspections Required Work Requiring Separate Permits Required State Permits ❑ Site �Plumbing ❑ Grading / Filling � Well ❑ Hardcover Removal �- Mechanical � Fire �lectrical ❑ Footing ❑ Septic � Water Connection � Poured Wall �Fireptace � Sewer Connection ❑ Foundation Survey 0 Masonry ❑ Lawn Irrigation � Radon Rock Bed �Mfg. ❑ Framing ❑ Other(specify) 0 Insulation ❑ Ajs-Built Survey j��Final ❑ Other(specify) REMARKS (in-house}: Other Review: Reviewed by: Date Approved: Access:Existing: ❑ YES ❑ NO New: ❑ YES ❑ NO REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) Updated: 09/11/2009 z:lformslplan review checklist.docx �C!_� DAT � TIME CITY OF ORONO CALLED IN I2� INSPECTION T SCHEDULED �Z"� � _�� PERMIT NO� — �10� OMPL TED ADDRESS � # 3 0 OWNER TELE ONE O. CONTRACTOR '— � � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �� `�� 0 � G�o '� S f� � wlnQr� (ZL� - �}-�--s�-��! W � � � �-n � � �� c%�� n � �2Fwc, �'. W � W � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING _�pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice